NPI | 1194724492 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G48663) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA G48663) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2018-03-30 |